Session Type
Meeting
Search Results for Arthritis
Abstract Number: 827
SHM Converge 2023
Case Presentation: A 71-year-old female with metastatic thyroid cancer status-post (s/p) radioiodine ablation and total thyroidectomy on oral chemotherapy, chronic kidney disease stage IV s/p deceased donor kidney transplant in 2019 on oral immunosuppression, presented with weakness, gastrointestinal symptoms, and acute-on-chronic dysphagia. While dysphagia work-up was ongoing, patient was noted to have right wrist swelling, […]
Abstract Number: 829
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 77 year old man with adenocarcinoma of the lung s/p chemotherapy and radiation presented to the Orthopedics service with hip pain & a left femoral lytic lesion.Soon after his IR-guided femur biopsy, medicine consult was called for ? cellulitis. Patient had new left 2nd toe pain, ankle pain, & knee pain, with […]
Abstract Number: 830
SHM Converge 2023
Case Presentation: Rheumatoid myositis is often underdiagnosed due to its variable laboratory, MRI, and biopsy findings and often misdiagnosed as idiopathic polymyositis.50-year-old female with seronegative RA and vocal cord dysfunction after COVID-19 infection presented with worsening proximal muscle weakness, dysphagia, and arthritis. A few years back she had multiple episodes of bilateral MCP swelling and […]
Abstract Number: 843
SHM Converge 2024
Case Presentation: A 31-year-old man presented to the ED with 2 days of fever and odynophagia, without neck pain. The physical exam was notable only for post-pharyngeal erythema without cervical lymphadenopathy. Blood cultures were drawn. The patient was discharged after reporting feeling better with a presumptive diagnosis of a viral infection. 5 days after the […]
Abstract Number: 897
SHM Converge 2023
Case Presentation: Here is a case report that describes an immunized immunocompetent 17-year-old male who presented with acute onset sharp migratory poly-articular pain and swelling as a solitary complaint that began in the left hip and right wrist associated with night sweats and difficult ambulation. Fever and other systemic symptoms were absent. Upon initial work-up, […]
Abstract Number: 926
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old Iraqi man with asthma and type 2 diabetes who enjoys gardening was diagnosed with seronegative rheumatoid arthritis (RA) when he presented with joint pain and swelling in both hands and wrists. He was treated with prednisone (20 mg daily) and methotrexate. One month later, he developed swelling and ulcerative papules on […]
Abstract Number: 928
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: One-year prior, the patient had left total knee replacement complicated by acute limb ischemia requiring revascularization followed by graft infection for which she was initially on caspofungin and later switched to maintenance voriconazole treatment for candida glabrata infection. Few months later she started complaining of morning stiffness and swelling in multiple joints including […]
Abstract Number: 936
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 63 year old female with RA on methotrexate presented with a 2 week history of fevers (Tmax of 102), nausea, and multiple episodes of diarrhea. The patient denied any recent travel, sick contacts, or antibiotic use. On admission, CT abdomen/pelvis showed extensive enterocolitis as well as thrombocytopenia with platelets of 128K. Stool GI […]
Abstract Number: C43
SHM Converge 2022
Case Presentation: A young man presented to the ED with four days of severe, sharp midsternal chest pain, fevers, diffuse arthralgias, bilateral conjunctivitis, diarrhea, and fatigue. He reported sexual intercourse with an HIV positive male partner four months prior to presentation and a history of multiple STI’s diagnosed in the past 6 years. Vitals: 101.5F, […]
Abstract Number: E25
SHM Converge 2022
Case Presentation: A 56 year old female patient with past medical history of hypertension and diabetes mellitus type 2 presents to the emergency department with a 1 day history of fever and confusion. Vitals showed a temperature of 101.4 F, heart rate at 112 beats per minute, blood pressure at 136/73. Initial lab work was […]